Fergus Falls Dental Group in Fergus Falls - Dental Public Health

Fergus Falls Dental Group - NPI 1205991866

Fergus Falls Dental Group is a Dental Public Health in Fergus Falls, Minnesota. Fergus Falls Dental Group practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Fergus Falls Dental Group is 1205991866. The last update date is 2009-02-27.

Fergus Falls Dental Group's current location address is 1121 Pebble Lake Rd, Fergus Falls, Minnesota. You can contact this provider via phone number 2187397254. The mailing address for Fergus Falls Dental Group is 1121 Pebble Lake Rd, Fergus Falls, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fergus Falls Dental Group
Address 1121 Pebble Lake Rd, Fergus Falls, Minnesota
Phone Number 2187397254
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADULT MENT
Authorized Official Name Kornrumpf L. Rod
Telephone Number 6514315003

NPI Number Detail

NPI Number 1205991866
Provider Enumeration Date 2006-12-26
Last Updated Date 2009-02-27

Provider Mailing Address Detail

Address 1121 Pebble Lake Rd
City Fergus Falls
State Minnesota (MN)
Post Code 56537
Phone Number 2187397254
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental Public Health
Taxonomy 1223D0001X
Definition:
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
102325000 MN --

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FAQs about Fergus Falls Dental Group

What is the unique 10-digit identification code assigned to Fergus Falls Dental Group by the Centers for Medicare & Medicaid Services?

The Fergus Falls Dental Group has been issued the NPI (National Provider Identifier) 1205991866, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Fergus Falls Dental Group is located?

The Fergus Falls Dental Group is situated at the following address: 1121 Pebble Lake Rd, Fergus Falls, MN, 56537.

What is Fergus Falls Dental Group's area of expertise and its corresponding taxonomy classification?

The Fergus Falls Dental Group's field of specialization is Dental Public Health, and it falls under the taxonomy code 1223D0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Fergus Falls Dental Group receive its 1205991866 assignment from the Centers for Medicare & Medicaid Services?

The Fergus Falls Dental Group was assigned its 1205991866 by the Centers for Medicare & Medicaid Services on 2006-12-26.

As of what date was the information regarding Fergus Falls Dental Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fergus Falls Dental Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-27.

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